呼吸肌训练改善脑卒中病人躯干稳定性的应用进展

doi:10.3969/j.issn.1003-9198.2023.07.019

摘要/Abstract

中图分类号:

R 743.3

王晓蕾, 苏剑清, 汪伍, 冯伟. 呼吸肌训练改善脑卒中病人躯干稳定性的应用进展[J]. 实用老年医学, 2023, 37(7): 728-731.

[1] 国家心血管病中心.中国心血管健康与疾病报告(2019)节选二:脑血管病[J]. 心脑血管病防治, 2020, 20(6):544-552.
[2] LANINI B, BIANCHI R, ROMAGNOLI I, et al. Chest wall kinematics in patients with hemiplegia[J]. Am J Respir Crit Care Med, 2003, 168(1):109-113.
[3] LEE K, CHO J, HWANG D, et al. Decreased respiratory muscle function is associated with impaired trunk balance among chronic stroke patients: a cross-sectional study[J]. Tohoku J Exp Med, 2018, 245(2):79-88.
[4] LEE D K, KIM S H. The effect of respiratory exercise on trunk control, pulmonary function, and trunk muscle activity in chronic stroke patients[J]. J Phys Ther Sci, 2018, 30(5):700-703.
[5] CATALÁ-RIPOLL J V, MONSALVE-NAHARRO J Á, HERNÁNDEZ-FERNÁNDEZ F. Incidence and predictive factors of diaphragmatic dysfunction in acute stroke[J]. BMC Neurology, 2020, 20(1):79.
[6] LIU X, QU Q, DENG P, et al. Assessment of diaphragm in hemiplegic patients after stroke with ultrasound and its correlation of extremity motor and balance function[J]. Brain Sci, 2022, 12(7):882.
[7] KOCJAN J, GZIK-ZROSKA B, NOWAKOWSKA K, et al. Impact of diaphragm function parameters on balance main-tenance[J]. PLoS One, 2018, 13(12):e208697.
[8] KELLI A, KELLIS E, GALANIS N, et al. Transversus abdominis thickness at rest and exercise in individuals with poststroke hemiparesis[J]. Sports:Basel, 2020, 8(6):86.
[9] KIM H D, YOU J M, HAN N, et al. Ultrasonographic measurement of transverse abdominis in stroke patients[J]. An Rehabil Med, 2014, 38(3):317-326.
[10] 苏楠. 偏瘫患者不同坐姿下腹肌厚度变化的研究[D]. 苏州:苏州大学, 2015.
[11] YOON H S, CHA Y J, YOU J S H. Effects of dynamic core-postural chain stabilization on diaphragm movement, abdominal muscle thickness, and postural control in patients with subacute stroke: a randomized control trial[J]. NeuroRehabilitation, 2020,46(3):381-389.
[12] SZCZYGIEŃ E, BLAUT J, ZIELONKA-PYCKA K, et al. The impact of deep muscle training on the quality of posture and breathing[J]. J Mot Behav, 2018, 50(2):219-227.
[13] 张雷, 刘亚康, 张鸣生. 应用不同频率、部位腹肌电刺激的反馈式呼吸电刺激训练对慢性阻塞性肺疾病患者膈肌功能和呼吸效率的影响[J]. 中国康复医学杂志, 2015, 30(12):1262-1265.
[14] HARUYAMA K, KAWAKAMI M, OTSUKA T. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients[J]. Neurorehabil Neural Repair, 2017, 31(3):240-249.
[15] LEE N G, YOU J, YI C H, et al. Best core stabilization for anticipatory postural adjustment and falls in hemiparetic stroke[J]. Arch Phys Med Rehabil, 2018, 99(11):2168-2174.
[16] LEE J, JEON J, LEE D, et al. Effect of trunk stabilization exercise on abdominal muscle thickness, balance and gait abilities of patients with hemiplegic stroke: a randomized controlled trial[J]. NeuroRehabilitation, 2020, 47(4):435-442.
[17] YOO J, JEONG J, LEE W, et al. The effect of trunk stabilization exercise using an unstable surface on the abdominal muscle structure and balance of stroke patients[J]. J Phys Ther Sci, 2014, 26(6):857-859.
[18] BECKER L C. Conditions for vasodilator-induced coronary steal in experimental myocardial ischemia[J]. Circulation, 1978,57(6):1103-1110.
[19] WEI H, SHENG Y, PENG T, et al. Effect of pulmonary function training with a respirator on functional recovery and quality of life of patients with stroke[J]. Contrast Media Mol Imaging, 2022, 2022: 6005914.
[20] KANG E, YOOK J S, HA M. Breathing exercises for improving cognitive function in patients with stroke[J]. J Clin Med, 2022, 11(10):2888.
[21] ZHANG X, ZHENG Y, DANG Y, et al. Can inspiratory muscle training benefit patients after stroke? A systematic review and meta-analysis of randomized controlled trials[J]. Clin Rehabil, 2020, 34(7):866-876.
[22] SHEEL A W. Respiratory muscle training in healthy individuals: physiological rationale and implications for exercise performance[J]. Sports Med, 2002, 32(9):567-581.
[23] PARK M, SEOK H, KIM S, et al. Comparison between neuromuscular electrical stimulation to abdominal and back muscles on postural balance in post-stroke hemiplegic patients[J]. Ann Rehabil Med, 2018, 42(5):652-659.
[24] JUNG J, SHIM J, KWON H, et al. Effects of abdominal stimulation during inspiratory muscle training on respiratory function of chronic stroke patients[J]. J Phys Ther Sci, 2014, 26(1):73-76.
[25] JUNG K S, JUNG J H, IN T S, et al. Effects of weight-shifting exercise combined with transcutaneous electrical nerve stimulation on muscle activity and trunk control in patients with stroke[J]. Occup Ther Int, 2016, 23(4):436-443.
[26] 邹盛国. 体外膈肌起搏对恢复期脑卒中患者呼吸功能的影响[D]. 合肥:安徽医科大学, 2019.
[27] LEE H, KANG T, KIM B. Effects of diaphragm and deep abdominal muscle exercise on walking and balance ability in patients with hemiplegia due to stroke[J]. J Exerc Rehabil, 2018, 14(4):648-653.
[28] GRENIER S G, MCGILL S M. Quantification of lumbar stability by using 2 different abdominal activation strategies[J]. Arch Phys Med Rehabil, 2007, 88(1):54-62.
[29] AYDOGAN A S, UGURLU K, SAKIZLI E E, et al. Effects of inspiratory muscle training on respiratory muscle strength, trunk control, balance and functional capacity in stroke patients: a single-blinded randomized controlled study[J]. Top Stroke Rehabil, 2022, 29(1):40-48.
[30] JANSSENS L, MCCONNELL A K, PIJNENBURG M, et al. Inspiratory muscle training affects proprioceptive use and low back pain[J]. Med Sci Sports Exerc, 2015, 47(1):12-19.
[31] 朱明月, 陈杏清, 黄凡, 等. 电针对卒中后气管切开患者膈肌功能的影响[J]. 中国针灸, 2020, 40(3):239-242.
[32] 郑刚, 徐前纬, 杨开仁. 膈肌锻炼联合运动训练对脑卒中后疲劳的康复效果研究[J]. 浙江医学, 2019, 41(4):355-358.
[33] LEE K, PARK D, LEE G. Progressive respiratory muscle training for improving trunk stability in chronic stroke sur-vivors: a pilot randomized controlled trial[J]. J Stroke Cerebrovasc Dis, 2019, 28(5):1200-1211.
[34] LI R C, LI L, CHEN Q J. Effect of respiratory training combined with core muscle training on the overall motor function and activities of daily living of patients with early and midterm stroke[J]. J Healthc Eng, 2022, 2022:9873642.
[35] 刘西花, 杨玉如, 李晓旭, 等. 吸气肌训练联合膈肌抗阻训练对脑卒中患者运动和平衡功能的影响[J]. 中华物理医学与康复杂志, 2022, 44(9):788-791.
[36] ZHENG Y, ZHANG Y, LI H, et al. Comparative effect of Liuzijue Qigong and conventional respiratory training on trunk control ability and respiratory muscle function in patients at an early recovery stage from stroke: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2021,102(3):423-430.
[37] 古剑珂, 罗海龙, 李杰, 等. 针刺配合呼吸肌训练治疗卒中后膈肌功能障碍的临床研究[J/OL]. 上海针灸杂志, 2022:1-5. DOI:10.13460/j.issn.1005-0957.2022.13.0035.
[38] 袁文蓉, 陈立娜, 王华, 等. 呼吸肌训练联合反馈式呼吸电刺激对脑卒中患者肺功能及呼吸肌肌力的影响[J]. 中华物理医学与康复杂志, 2022, 44(11):989-993.

呼吸肌训练改善脑卒中病人躯干稳定性的应用进展

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

推荐阅读 10

[1]	徐金燕, 夏聪聪, 杨红美. 老年脑卒中肺部感染风险预测模型的建立及验证[J]. 实用老年医学, 2024, 38(5): 452-437.
[2]	张丽莉, 李静, 丁林锋, 孙静娴, 蔡静波. 颈动脉粥样硬化斑块对非瓣膜性心房颤动病人缺血性脑卒中事件的预测价值[J]. 实用老年医学, 2024, 38(3): 236-239.
[3]	丁志清, 杨翔, 严妤函, 刘蓓蓓, 刘真真, 谢财忠. Thera-Band弹力带改善脑卒中偏瘫病人下肢运动功能的效果[J]. 实用老年医学, 2024, 38(2): 162-165.
[4]	张建东, 王会兵, 蔺素英, 马晓鹏, 李秋霞. 老年急性缺血性脑卒中合并微出血病人溶栓后早期神经功能重度损伤的危险因素[J]. 实用老年医学, 2023, 37(11): 1153-1155.
[5]	牛翠, 杨华, 张晓霞, 李致文, 殷海清. 老年急性脑梗死病人阿替普酶溶栓后出血转化影响因素分析[J]. 实用老年医学, 2023, 37(10): 1035-1038.
[6]	陈礼荣, 叶晓莉. 老年脑卒中病人肌少症与卒中后吞咽功能障碍的相关性研究[J]. 实用老年医学, 2023, 37(9): 947-950.
[7]	杨丹丹, 蒋琳芝, 李丽燕, 耿德勤, 李雷. 系统免疫炎症指数预测老年卒中病人溶栓后出血转化的价值[J]. 实用老年医学, 2023, 37(8): 789-793.
[8]	杨文杰, 李艳丽, 周彦君, 李兰, 穆斌, 王杰. 脑卒中伴肌少症的临床特征及早期微生态肠内营养干预效果分析[J]. 实用老年医学, 2023, 37(8): 823-827.
[9]	虞冬晴, 车路. 基于西洛他唑双重抗血小板方案对氯吡格雷抵抗老年急性脑梗死病人的疗效及预后评价[J]. 实用老年医学, 2023, 37(8): 843-847.
[10]	张洁, 田冰洁, 金曼. 老年孤立性眩晕型小脑梗死的早期识别[J]. 实用老年医学, 2023, 37(8): 858-860.
[11]	张倍玮, 胡秋菊, 黄丹青, 王鸣, 朱博艺, 欧阳钢, 葛伟. 针刺治疗脑梗死的功能性磁共振成像研究进展[J]. 实用老年医学, 2023, 37(7): 737-740.
[12]	柏建兵, 王阳, 李子标, 向文杰. 基于Solumbra技术的取栓术治疗老年脑梗死病人的疗效及其神经损伤标志物水平变化[J]. 实用老年医学, 2023, 37(6): 603-606.
[13]	包莹莹, 庄咏梅, 车培, 计樱莹, 陈兰, 肖悦, 鲁俊, 赵若欣, 许光旭. 改良五禽戏促进老年脑卒中病人呼吸功能的临床研究[J]. 实用老年医学, 2023, 37(5): 444-448.
[14]	任莎莎, 程凯, 许亮, 周末, 高明霞. 经颅直流电刺激联合运动想象疗法改善脑卒中偏瘫病人上肢运动功能及认知功能的效果[J]. 实用老年医学, 2023, 37(5): 449-453.
[15]	夏恒, 石磊. 小骨窗微创手术用于治疗老年高血压性脑出血合并脑疝的疗效及其安全性[J]. 实用老年医学, 2023, 37(5): 487-490.